Provider Demographics
NPI:1568627081
Name:LAI, CHING-FENG (DO)
Entity Type:Individual
Prefix:DR
First Name:CHING-FENG
Middle Name:
Last Name:LAI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5700 COOPER FOSTER PARK RD
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44053-3570
Mailing Address - Country:US
Mailing Address - Phone:404-204-7439
Mailing Address - Fax:404-204-7584
Practice Address - Street 1:5700 COOPER FOSTER PARK RD W
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44053-4140
Practice Address - Country:US
Practice Address - Phone:404-204-7439
Practice Address - Fax:404-204-7584
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-24
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.010927208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery